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Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice 

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families. 

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others. 

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death. 

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified. 

Education 

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification. 

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula. 

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available. 

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families. 

Research 

1. Increase the integration of evidence-based care across the dimensions of end-of-life care. 

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal. 

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life. 

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments. 

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices. 

Administration 

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families. 

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care. 

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury. 

4. Support the development and integration of palliative care services for all in- and outpatients and their families. 

i need 9 simple essays 

 Christian values are in the news frequently. Describe an example within the past year that includes an issue or environment related to health care. Locate an electronic media article and explain how the story frames the ethical considerations of the topic, addressing whether the position is fairly or equally provided the media source. Determine whether you are able to identify the journalistic preference in the outcome. You must provide the link to the electronic media article.  PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE

PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

4 REFERENCES

Clients with personality disorders often find it difficult to overcome their problems and function in daily life. Even when these clients are aware that they have a dysfunction with their personality and are open to counseling, treatment can be challenging for both the client and the therapist. For this Discussion, as you examine personality disorders, consider therapeutic approaches you might use with clients.

Learning Objectives

Students will:

• Analyze therapeutic approaches to treating clients with personality disorders

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide.
• Select one of the personality disorders from the DSM-5.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a description of the personality disorder you selected. Explain a therapeutic approach (including psychotropic medications if appropriate) you might use to treat a client presenting with this disorder, including how you would share your diagnosis of this disorder to the client in order to avoid damaging the therapeutic relationship. Support your approach with evidence-based literature.

Task 1.

1. 200 words – Provide a brief overview of the concept of food desert as it relates to urban community. What impact does food desert and access to healthy foods have on population health, within urban communities?  

2. 200 words – Consider the character Nurse Lisa in the book “The Hate You Give”. Consider how the concept of food desert affect her and her family? For example, as a nurse within an underserved urban community her role is to advocate for the health and wellbeing of her clients and community members. What methods/ education can she provide to her clients to increase their access to health good choice when there is limited supplies? 

3. 200 words – Consider the novel “The Hate You Give” relate the novel and it setting to the concept of food desert. 

4. 100 words – How would a community health nurse or public health official address the issue of food desert? 

5. 100 words – What key stakeholders within the community would the official speak to and coordinate with to resolve this problem?

6. 100 words – Provide at least 3 community programs (interventions) that could be established to resolve the problem of food desert? 

7. 200 words – How would you coordinate these interventions? What is the most important aspect of the program intervention? Consider (funding, needs assessment, policy developments etc.)?

Task 2. 

1. 200 words- What are the determinants of health? How does the determinants of health impact health outcome within underserved urban communities?

2. 200 words- Of the many detriments of health which do you think is the most impactful and why? how does the determinants of health relate to the book “The Hate You Give”? provide example? 

Respond to the questions above in APA 7th format.

Each question MUST have subheadings.

Provide at least 7 scholarly resources including the book “The Hate You Give” and the attached textbook. 

• Now that you have  completed Lesson 23 & 24 and have thought about the factors that  affect the health of various communities, do the following:
   

1. Identify prevalent issues or diseases that affect the health of your community (the specific populations you serve).
2. Compare and contrast  two (2) specific populations in your practice that are affected by the  above issue(s) or disease(s) by listing their commonalities and their  differences.
3. Base on the information above, how can you change or refine your practice to meet each community’s specific needs?

• Your paper should: 
• be typed doubled-space.
• a total of 100 to 200 words (not counting your list of commonalities and differences). 
• Use factual information.
• be original work and will be checked for plagiarism.
• have required APA format if references are utilized – type references according to the APA Style Guide.

bibliography

Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP intervention. Why? Has your preceptor used either theory, and to what result?

Minimum of 250 words with at least 1 peer review reference in 7th edition apa style

 The sample size of a study can be problematic if it is too small or too large. Explain why this is the case.  

 It is one of the most clichés of clichés, but it nevertheless rings true: The only constant changes. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

• Review the Resources and identify one change that you believe is called for in your organization/workplace.
  • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
• Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with a video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

• An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
• A description of the change being proposed
• Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
• Details about the type and scope of the proposed change
• Identification of the stakeholders impacted by the change
• Identification of a change management team (by title/role)
• A plan for communicating the change you propose
• A description of risk mitigation plans you would recommend addressing the risks anticipated by the change you propose.

 Create a narrated PowerPoint presentation of 5 or 6 slides with a video that presents a comprehensive plan to implement the change you propose. 

• Your presentation should be 5–6 minutes in length
• Be creative and include a video of you giving the presentation with the slides.

Resources:

 Tistad, M., Palmcrantz, S., Wallin, L., Ehrenberg, A., Olsson, C. B., Tomson, G., …Eldh, A. C. (2016). Developing leadership in managers to facilitate the implementation of national guideline recommendations: A process evaluation of feasibility and usefulness. International Journal of Health Policy and Management, 5(8), 477–486. doi:10.15171/ijhpm.2016.35. Retrieved from http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79b0a941f65.pdf

Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice. Journal of Nursing Administration, 42(4), 222–230. Retrieved from https://medcom.uiowa.edu/annsblog/wp-content/uploads/2012/10/JONA-FINAL-Cullen-2012.pdf

TEDx. (2013, January). Six keys to leading positive change: Rosabeth Moss Kanter at TEDxBeaconStreet [Video file]. Retrieved from https://www.youtube.com/watch?v=owU5aTNPJbs